KENNETH MARR LANYON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****62

License Status

NOT RENEWED

Business

Title

First Name

KENNETH

Middle

MARR

Last Name

LANYON

Business Name

KENNETH MARR LANYON MD

Original Issue Date

05/05/2017

Effective Date

05/05/2017

Expiration Date

09/30/2020

City

GALESBURG

State

Zip

61401

County

KNOX

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021